Evaluation of educational interventions and knowledge of the Nursing team in the use of electrosurgery
Abstract
Objective: To evaluate the effect of educational interventions on the Nursing team's knowledge and applicability of electrosurgery.
Material and Method: A quasi-experiment, with pre- and post-tests in a single group developed in the operating room of a Brazilian tertiary-level university hospital. It was developed in seven stages, with the application of a semi-structured questionnaire to assess the participants' knowledge. The participants were exposed to two educational interventions (lecture, dialogue and video-lesson) and, after each intervention, they were evaluated for knowledge retention. Indicators of the application of the electrosurgery unit during surgical procedures were also evaluated.
Results: Four nurses and 28 nursing technicians participated in the study. The nurses had prior knowledge of the theme on most of the topics. Among the nursing technicians, there was an improvement in the “equipment check” and “electrodispersive plate positioning” items.
Conclusions: The professionals presented good theoretical performance but the same is not evidenced in the practice because they are reluctant to having a practice different from the theory. Research of this nature is timely because it provides managers with a possibility to propose projects for continuous improvement of perioperative assistance.
Downloads
References
Meeuwsen F, Guédon A, Klein J, van Der Elst M, Dankelman J, van Den Dobbelsteen.
Electrosurgery: short-circuit between education and practice. Minim Invasive Ther Allied Technol. 2019; 28(4):247-253. doi: 10.1080/13645706.2018.1513945.
Watanabe Y, Kurashima Y, Madani A, Feldman LS, Ishida M, Oshita A, et al. Surgeons have knowledge gaps in the safe use of energy devices: a multicenter cross-sectional study. Surg Endosc. 2016; 30(2):588-592. doi: 10.1007/s00464-015-4243-5.
Bae HS, Lee M-Y, Park J-U. Intraoperative burn from a grounding pad of electrosurgical device during breast surgery. Medicine (Baltimore). 2018; 97(1): e8370. doi: 10.1097/MD.0000000000008370
Bisinotto FMB, Dezena RA, Martins LB, Galvão MC, Sobrinho JM, Calçado MS. Rev Bras Anestesiol. 2017; 67(5):527-534. doi: 10.1016/j.bjan.2016.03.003.
Wubben I, van Manen JG, van den Akker BJ, Vaartjes SR, van Harten WH. Equipment-related incidents in the operating room: an analysis of occurrence, underlying causes and consequences for the clinical process. Qual Saf Health Care. 2010;19(6):e64. doi: 10.1136/qshc.2009.037515.
Emergency Care Research Institute (ECRI). Executive Brief. Top 10 Health Technology Hazards for 2016. 2015. Health Devices. Disponível em: https://www.ecri.org/Resources/Whitepapers_and_reports/2016_Top_10_Hazards_Executive_Brief.pdf. Acesso: 15 fev. 2020.
Oliveira MAN. Gerenciamento de novas tecnologias em centro cirúrgico pelas enfermeiras nos hospitais de feira de Santana - Ba. Rev. bras. enferm. 2004; 57(3):292-97. doi.org/10.1590/S0034-71672004000300007
Martins FZ, Dall’agnol CM. Centro cirúrgico: desafios e estratégias do enfermeiro nas atividades gerenciais. Rev Gaúcha Enferm. 2016; 37 (4):e56945. doi.org/10.1590/1983-1447.2016.04.56945.
Afonso FIS, CARVALHO MLE, OLIVEIRA LMN. O papel do enfermeiro na prevenção de complicações associadas à prática da eletrocirurgia. Revista Investigação em Enfermagem. 2014; 9:76-80.
Meeuwsen FC, Guédon ACP, Arkenbout EA, Elst MVD, Dankelman J, Van den Dobbelsteen J.Jet al. The Art of Electrosurgery: Trainees and Expert. Surgical Innovation 2017; 24(4):373–378. doi.org/10.1177/1553350617705207
Hur HC, Green I, Modest AM, Milad M, Huang E, Ricciotti H. Needs assessment for electrosurgery training of residents and faculty in obstetrics and gynecology. JSLS. 2014; 18(3):e2014.00293. doi: 10.4293/JSLS.2014.00293.
Meeuwsen F,Guédon A, Klein J, Van Der Elst M, Dankelman J, Van Den Dobbelsteen J. Electrosurgery: short-circuit between education and practice.
Minimally Invasive Therapy & Allied Technologies. 2019; 28(4): 247-253. doi.org/10.1080/13645706.2018.1513945
Association of Perioperative Registered Nurses (US). Guideline for electrosurgery. In Guidelines for perioperative practice, 2015. Denver: Association of periOperative Registered Nurses. 2015, p. 121-36
Fernandes LM. Efeitos de intervenções educativas no conhecimento e práticas de profissionais de enfermagem e na incidência de úlcera de pressão em centro de terapia intensiva [tese]. Ribeirão Preto: Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo; 2006.
Freitas IA, Borges-Andrade JE. Efeitos de Treinamento nos Desempenhos Individual e Organizacional. ERA. 2004;44(3):44-56. doi.org/10.1590/S0034-75902004000300005
Mccullagh P, Nelder JA (1989). Generalized Linear Models. 2nd. Edition. Chapman and Hall, London.
Parra RLC, Giannasttasio MB, Diniz TRZ. O conhecimento dos circulantes de sala sobre a utilização do bisturi elétrico. Rev. SOBECC. 2012;17(4): 24-32.
Azevedo, DM, Costa LM, Almeida Júnior JJ, Enders BC, Menezes RMP. Paradigmas emergentes: um ensaio analítico. Rev. eletrônica enferm. 2008;10(3)set. 2008.
Jacondino CB, Severo DF, Rodrigues KR, Lima L, Einhardt RR, Amestoy SC. Educação em serviço: qualificação da equipe de enfermagem para o tratamento de feridas. Cogitare enferm. 2010;15(2):314-8. http://dx.doi.org/10.5380/ce.v15i2.17867
Abbad GS, Zerbini T, Borges-Ferreira MF. Medidas de reação a cursos presenciais. In: Medidas de avaliação em treinamento, desenvolvimento e educação: ferramentas para gestão de pessoas. Porto Alegre: Artmed, 2012.
Montanha D, Peduzzi M. Educação permanente em enfermagem: levantamento de necessidades e resultados esperados segundo a concepção dos trabalhadores. Rev Esc Enferm USP. 2010;44(3):597-604. doi.org/10.1590/S0080-62342010000300007.
The works published in this magazine are subject to the following terms:
1. The Publications Service of the University of Murcia (the publisher) preserves the copyright of the published works, and encourages and allows the reuse of the works under the license for use stated in point 2.
© Servicio de Publicaciones, Universidad de Murcia, 2011 (© Publications Service, University of Murcia, 2011)
2. The works are published in the electronic edition of the journal under Creative Commons Reconocimiento-NoComercial-SinObraDerivada 3.0 España(texto legal) “ a Attribution-NonCommercial-NoDerivatives 3.0 Spain license (legal text)”. They can be copied, used, broadcasted, transmitted and publicly displayed, provided that: i) the authorship and original source of their publication (journal, publisher and URL) are cited; (ii) are not used for commercial purposes; iii) the existence and specifications of this license is mentioned.
3. Conditions of self-archiving. Authors are allowed and encouraged to electronically disseminate the pre-print (pre-reviewed ) and / or post-print (reviewed and accepted for publication) versions of their works prior to publication, as it ensures a wider circulation and dissemination which may lead to a possible increase in its mention and a higher scope among the academic community. RoMEO color: green.
